Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY GROTT, MD
Active Sole ProprietorKELLY GROTT, MD is a Interventional Vascular Surgery healthcare provider located in LAFAYETTE, Indiana. NPI 1801328695 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · LAFAYETTE, IN
Registration Details
- NPI Number
- 1801328695
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2017 (9.3815866701386 yrs)
- Last Updated
- Aug 7, 2025
- Licenses
-
11020205A (IN)MED-RES-LIC-58231 (MT)01083529A (IN)036156733 (IL)01083529A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3001 S CREASY LN STE 100ALAFAYETTE, IN, 479055206Browse IN providers · Browse ZIP 47905
- Phone
- 7657016451
- Fax
- 7654205801
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Anesthesiology
- Additional Specialty
- Interventional Vascular Surgery
- Additional Specialty
- Interventional Vascular Surgery
Other Interventional Vascular Surgery Providers in LAFAYETTE, IN
| Name | Credential | NPI |
|---|---|---|
| JENNIFER M EMMERT | N.P. | 1659323046 |
| JOSEPH CLAYTON RUTLEDGE | MD | 1750709523 |
| SHELLE SCHUMACHER | — | 1134895188 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.